The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #510 - 152 WAVERLY ROAD 4/1/2009 BUILDING PERMIT o� r►ORT1y�t,bo $6'�ti TOWN OF NORTH ANDOVER o� ' "' .6 0 APPLICATION FOR PLAN EXAMINATION ?o e^ Permit NO: Date Received 4,0 ��SSACHUS Date Issued: �® IMPORTANT: Applicant must complete all items on this page LOCATION �:)0 , rJ 'nPROPERTY OWNER � P, Print MAP NO: 1 PARCEL: ZONING DISTRICT: Hstoric District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial affair, replacement— Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: �J Identification P ease Type or Print Clearly) -� OWNER: Name: c� M , Phone: Address: ceA,L - -7�� CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: I ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ Zi5�o FEE: $ { o��S Check No.: Receipt No.: NOTE: Persons contracting with u egistered contractors do not have access to the guaranty fund Signature of Agent/O er Signature of contractor Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes t Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use j ❑ Notified foricku - Date p p + Doc.Building Permit Revised 2008 I Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products -NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Location JAZ �V4(i,G•-� �� c No. 5/U Date r 40RTol TOWN. OF NORTH ANDOVER f q,r Certificate of Occupancy $ JNUs<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ . ,r^ TOTAL $ Check # �y S 2 ! 8 7 `' Building Inspector NORTH TO" of t 4 over . -W _ LAKE dover, Mass., a T O �. COC MIC ME WICK V ADRATED PPS\ C7 `S BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT ......./!.... ~!I 'I................................................................................ Foundation has permission to erectA'.4- 4001 ................... buildings on ...............� i ....... N .......//a........ Rough to be occupied as.......... .....�� ........ .. ...... !�... .... r..I�. IIey provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MQNTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI0 TART Rough ............. ........ ... ................ .. ... ............... Service BUILDING PECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises .Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. TM... T■ d. w,a #4; x r } 3 IL mow• .. - _ . .. !� �' � � y,�•�'� j �� ` -,f 4� f ate.., .. ., '-. —ter+' �.. •. � .v r1 r T - LT + r` r 6 x:. „C p y r . _ Wbyxn i 3 r r .5 1 _ k 3 1 II dRt w J- . .: <,,. Awa..•_ +I , ._ ,..,.�.;. .v:,:..�., ......r:�w.,u ...__w. .�'+-,i � � , r i.. L 1 !_. �Y RL U,y •• `E,. R i) � ►i �� .� +� �, ="gid+C ��'�,� y .F t 7 4 M. 4 ._r r y r y "'.'r�'�M�4[YwYn�lvaa .""%.�-•nn..x..a...,. � �'6 �, W ..,:. �•erYz ++awn ..._ � � t w r R� ii. t t t t + 3 � t I r 1 z < 4 I s{ a 'p q y s i ton Iin --VIIY..blH f1AyL�.Lr.,'�'M s�� NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 1 OA. The debris will be disposed of in: J 19,3 (Location of Facility) Gpign re of eiqiit Applicant Date i i I ry /v I ( aaH r 1 ORT . w: .. . . _ C . ve" .. C No. h ver, Mass, COCMICHIWIC9, �1• �.95 RATED ►Pa,��(5 1 1 U BOARD OF HEALTH Food/Kitchen PER IT T LD Septic System THIS CERTIFIES THAT ......... ..�/!'1�.. 41 ,......"F8UILDING INSPECTOR ...... �r. a ..... ................... has permission to ere t .......................... buildings on ....1.41. .................... Fo Ro to be occupied as ..... ... :J.�. .... hZ.. y .. 11 provided that the person accepting this permit shall in every respect conform to the terms of the application a on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 O ELECTRICAL INSPECTOR UNLESS CONSTRUCTI AR Roug ' Service ............ ....................................................... in I BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Fina No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Sm e Det. ae e VMj •